Active NPI
Megan Jane Flannery, PTA
- Physical Therapy Assistant
- Keene, NH
National Provider Identifier
1609577352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1456
- Practice address
- 136 Arch St
Keene, NH 03431-2186 - Phone
- (603) 357-3902
- NPI assigned
- Mar 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 9324 | MA | |
| Physical Therapy Assistant | 225200000X | 041.0133958 | VT | |
| Physical Therapy Assistant | 225200000X | 1456 | NH | Primary |
Addresses
Primary practice location
136 Arch St
Keene, NH 03431-2186
Mailing address
123 Poocham Rd
West Chesterfield, NH 03466-3517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9324 | MA | MD | Specialist |
| 1456 | NH | MD | Physical Therapy Assistant |
| 041.0133958 | VT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1609577352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 POOCHAM RD",
"city": "WEST CHESTERFIELD",
"state": "NH",
"postal_code": "034663517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 ARCH ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034312186",
"telephone_number": "603-357-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANNERY",
"first_name": "MEGAN",
"middle_name": "JANE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "9324",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VT",
"license": "041.0133958",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NH",
"license": "1456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.